Individual provider Active NPI

Mary Kathryn Bartek, MD

  • Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1073715561
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
45467 Issued in TN
Practice address
315 Deaderick St Ste 1550
Nashville, TN 37238-3003
Phone
(833) 351-8255
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD45467 TN
Psychiatry Physician 2084P0800X MD61462724 WA
Psychiatry Physician 2084P0800X 45467 TN Primary

Addresses

Primary practice location

315 Deaderick St Ste 1550
Nashville, TN 37238-3003

Mailing address

2201 Murphy Ave Ste 201
Nashville, TN 37203-0803
Phone (615) 329-3595

Other practice location 1

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other practice location 2

13555 SE 36th St Ste 100
Bellevue, WA 98006-1456
Phone (833) 351-8255

Other practice location 3

400 Union Ave SE Ste 200
Olympia, WA 98501-2060
Phone (833) 351-8255

Other identifiers 1

IdentifierTypeStateIssuer
1518839MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NY, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221005000642 TN Practitioner - Psychiatry 4880726678 Reassigns benefits to 2 organizations
I20221022000090 NY Practitioner - Psychiatry 4880726678 Reassigns benefits to 1 organization
I20231102002582 WA Practitioner - Psychiatry 4880726678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Washington School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

315 Deaderick St
Suite 1550
Nashville, TN 37238-3003
Phone (833) 351-8255

400 Union Ave SE
Olympia, WA 98501-2059
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD45467TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Nov 25, 2022 Accepting new patients
Grace Pediatrics PLLC Pediatrics Past Accepting new patients
Pediatric Associates of Davidson County, P.C. Pediatrics Past Accepting new patients

Locations

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

315 Deaderick St
Ste 1550
Nashville, TN 37238
Phone (615) 554-3233

13555 SE 36th St
Ste 100
Bellevue, WA 98006

400 Union Ave SE
Olympia, WA 98501

400 Union Ave SE
Ste 200
Olympia, WA 98501
Phone (202) 375-4508

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1073715561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE STE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372030803",
            "telephone_number": "615-329-3595",
            "fax_number": "615-891-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 DEADERICK ST STE 1550",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372383003",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13555 SE 36th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980061456",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Union Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012060",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTEK",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD45467",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61462724",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "45467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518839",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.